Individual
DR. MARTHA J KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16846 ROYAL CREST DR, HOUSTON, TX 77058-2529
(281) 480-9291
Mailing address
450 KIRBY, SEABROOK, TX 77586
(281) 480-9291
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000408-01
—
TX
Enumeration date
01/17/2006
Last updated
07/08/2007
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